Miller, George

Miller, George is an individual health care provider with primary practice located at 18210 La Grange Rd Suite 110, Tinley Park IL 60487-7722. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Miller, George can be contacted via phone (708) 478-2500.

Contact Information

Primary practice address
18210 La Grange Rd Suite 110 Tinley Park IL 60487-7722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1982674990
LBN Legal business name Miller, George
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Apr 14th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982674990 NPPES
Illinois Other P00280685 RAILROAD MEDICARE
Illinois MEDICAID 03606258204 RAILROAD MEDICARE

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